Pharmacy Senior Case Manager - Nova Scotia

Position Type:                    Full Time

Department:                      Pharmacy / PSP

Work Location:                  Nova Scotia 

Work Arrangement:         OnSite

• Work Hours:                       Standard Business Hours

Travel Required:                No

A proudly Canadian company, Sentrex Health Solutions is a fully integrated specialty distributor and patient support provider for pharmaceutical manufacturers, physicians, and their patients. We provide innovative solutions focused on ensuring patients have access and the support they need to maximize their treatment outcomes. We do this through strategic distribution models and patient support programs that are backed by powerful, integrated technology, a dedicated in-house creative agency, and experienced, cross-functional teams. Our core capabilities include Specialty Pharmacy Services, Customized Solutions for Warehouse, Wholesale & Distribution, Patient Support Programs, Strategic Creative Services as well as HCP & Clinic Services.

Come and join our team! But first, let us tell you why we love working here:

• We are 100% Canadian with locations across the country
• State-of-the-art facilities to provide high-quality products and services
• The opportunity to be a part of a winning, high-performing team
• Collaborative, engaging workplace culture – we are passionate about our people!
• Flexible working environment that promotes a healthy work-life balance
• Diverse and inclusive culture where your talent and commitment to excellence is welcomed and valued
• High-growth environment that provides opportunities for learning and growth supported by our Employee Development Program and industry-leading, in-house corporate training offered throughout the year
• Quarterly virtual social events!

The Opportunity:

The Pharmacy Senior Case Manager - One Team reports into the Pharmacy Manager and works closely with the Ophthalmology Program Manager. The role is primarily responsible for supporting the daily operations of One Team. The Pharmacy Senior Case Manager - One Team acts as the main point of contact for designated Ophthalmology clinics, ensuring that workflow is completed within the required timelines. The Pharmacy Senior Case Manager - One Team also works with clinic staff and other stakeholders to provide exemplary customer service and clinic support while working with management to address and resolve clinic concerns. In addition, the Pharmacy Senior Case Manager - One Team will assist management with implementing new clinics and process changes as well as staff training.

A Day in the Life (What you will do here):

• Creates the patient profiles (pharmacy)
• Ensures the EF are complete - sends to the PSP (PSP creates Luminav profile)
• Calls patient to welcome them into the program
• Serve as a patient advocate by collaborating with healthcare providers and insurance companies to ensure access to appropriate medications and minimize out-of-pocket expenses.
• Assist with SA completion and facilitate the submission of SA to the Insurance provider
• Assist with the reconciliation of Free doses
• Conducts Test bills
• Reports Adverse Events / Severe Adverse Events (AE / SAEs) following approved SOPs.
• Provides daily oversight to ensure that prescription workflow for designated One Team clinics is completed in a timely manner and according to clinic specifications
• Acts as the main point of contact to answer questions related to designated clinics from clinic, field and pharmacy staff while appropriately escalating concerns to the management team (Supervisor or a Program Manager)
• Assists with Pharmacy Assistant duties and responsibilities including prescription entry/labelling/packaging, preparing shipping reports, following up on insurance billing issues, answering phones, scanning/filing of paperwork and arranging courier deliveries as required
• Adherence to all relevant guidelines including the established Standard Operation procedures and all applicable regulatory requirements as set out by the applicable provincial pharmacy college.
• Attends and participates in staff meetings
• Collaborate with the pharmacy, PSP (Case Manager), clinic and patient regarding the documentation necessary for maximum reimbursement coverage.
• Perform other duties as assigned by manager

What you need to ensure you are set up for success:

• Post secondary diploma from Pharmacy Assistant program an asset
• Previous work experience in a pharmacy setting a strong asset
• Willingness to work in-person at the pharmacy
• Proficiency with Kroll strongly preferred
• Strong computer skills in Windows environments and MS Office (Excel, Word)
• Strong verbal and written communication skills required. Ability to communicate in other languages an asset.
• Knowledge and understanding of specialty medications along with third-party billing issues an asset
• Highly organized with strong attention to detail
• Excellent communication and interpersonal skills to effectively collaborate with patients and healthcare professionals
• Ability to prioritize, organize, and manage a caseload of patients efficiently
• Knowledge of insurance plans, formularies, and prior authorization processes
• Familiarity with pharmacy software systems and electronic health records
• Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare

What makes you a great fit for this team: 

• Your commitment to providing a high level of service to your internal and external clients.
• You are highly adaptable with a track record of success during times of growth and organizational change.
• You have a proven track record of developing trust and influence at multiple levels.
• You demonstrate an impactful and candid communication style.
• You have exceptional organizational skills with the ability to build effective working relationships with colleagues, management, and stakeholders.

Why Join Sentrex?

We value our employees! Our permanent full-time employees are provided with a:

• Competitive Salary and generous vacation entitlement
• Wellness Program (5 paid days off for your well-being!)
• Paid Sick Days
• Competitive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance
• Employee & Family Assistance Program

Sentrex Health Solutions is proud to be an equal opportunity employer demonstrated by our commitment to diversity, inclusion, belonging, equity, and accessibility. We provide a safe space for all team members to express their individuality within our corporate culture.

We encourage you to apply and accept all applications.  We realize that not every candidate will meet every single desired qualification.  If your experience looks a little different from what we have identified and you think you can bring value to the role, we would love to learn more about you!

Accommodations can be made available upon request for those candidates taking part in the selection process.

Sentrex Health Solutions recognizes the importance of immunization to protecting our staff, customers, and members of the community from COVID-19. As such, and subject to any obligations under applicable human rights legislation, it will be a condition of employment that all new hires have received all required doses of a COVID-19 vaccine approved by Health Canada. Successful applicants will be required to provide proof of full vaccination prior to their start date.